Gardenia Home
Gardena · 0.3 mi · 4 beds
CitationsNoneSubstantiated0
West Gardena Post Acute
16530 S BROADWAY STREET, Gardena, CA, 90248
Nursing home50 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 20 deficiencies against West Gardena Post Acute in Gardena, California at its most recent standard inspection on 2025-11-20, 1 of them arising from complaints. 2 findings have been recorded at the actual-harm level. Medicare has fined it 2 times, totalling $43,004. Medicare rates it 2 out of 5 overall.
2 / 5Medicare overall rating
50certified beds
20deficiencies at the last inspection
0immediate-jeopardy findings on record
2actual-harm findings on record
2federal fines, $43,004
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.2
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.34
Potential for minimal harmThe least serious band.3
Most recentEEEEEEEEDDDDDDDDDDBE
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · F0552 · 2025-11-20 · standard survey · No actual harm, potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2025-11-20 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · F0688 · 2025-11-20 · standard survey · No actual harm, potential for more than minimal harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · F0761 · 2025-11-20 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-11-20 · standard survey · No actual harm, potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2025-11-20 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-11-20 · standard survey · No actual harm, potential for more than minimal harm
Keep all essential equipment working safely.
Environmental Deficiencies · F0908 · 2025-11-20 · standard survey · No actual harm, potential for more than minimal harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · F0580 · 2025-11-20 · standard survey · No actual harm, potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · F0645 · 2025-11-20 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-11-20 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2025-11-20 · standard survey · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2025-11-20 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2025-11-20 · standard survey · No actual harm, potential for more than minimal harm
Provide routine and 24-hour emergency dental care for each resident.
Quality of Life and Care Deficiencies · F0790 · 2025-11-20 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · F0805 · 2025-11-20 · standard survey · No actual harm, potential for more than minimal harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · F0881 · 2025-11-20 · standard survey · No actual harm, potential for more than minimal harm
Provide enough space and equipment to meet each resident's needs
Environmental Deficiencies · F0907 · 2025-11-20 · standard survey · No actual harm, potential for more than minimal harm
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · F0912 · 2025-11-20 · standard survey · No actual harm, potential for minimal harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · F0925 · 2025-07-15 · from a complaint · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below2 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS4.60273
Nursing staff turnoverShare of nursing staff who left in a year43.5%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS2
Total fined$43,004
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one2
Ownership
Who owns West Gardena Post Acute
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| LEHMANN, KENNETH | Individual | 32% | since 11/01/2019 |
| BAK, ABRAHAM | Individual | NOT APPLICABLE | since 09/06/2019 |
| GASTWIRTH, MENACHEM | Individual | NOT APPLICABLE | since 08/19/2020 |
| LEHMANN, KENNETH | Individual | NOT APPLICABLE | since 10/07/2019 |
| BAK, ABRAHAM | Individual | NOT APPLICABLE | since 10/07/2019 |
| GASTWIRTH, MENACHEM | Individual | NOT APPLICABLE | since 10/07/2019 |
| OFOEGBU, KINGSLEY | Individual | NOT APPLICABLE | since 06/13/2022 |
| PANGILINAN, VIOLETA | Individual | NOT APPLICABLE | since 10/16/2023 |
| BAK, ABRAHAM | Individual | NOT APPLICABLE | since 01/13/2016 |
| BAK, RACHEL | Individual | NOT APPLICABLE | since 01/13/2016 |
| 16530 SOUTH BROADWAY STREET,LLC | Organization | NOT APPLICABLE | since 09/06/2019 |
| ABAK CONSULTING LLC | Organization | NOT APPLICABLE | since 12/27/2021 |
Part of the ABRAHAM BAK & MENACHEM GASTWIRTH group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Gardenia Home
Gardena · 0.4 mi · 4 beds
CitationsNoneSubstantiated0
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Carson · 0.4 mi · 16 beds
CitationsNoneSubstantiated0
Emily's Home
Carson · 0.5 mi · 6 beds
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Sherman House
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CitationsNoneSubstantiated0
Shalomite Home Care LLC
Gardena · 0.6 mi
CitationsNoneSubstantiated0
Contact
Ask West Gardena Post Acute a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 555410.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction